HomeMy WebLinkAbout1988-Electric CITY OF OSHKOSH No 10112
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS er
PLAN NO.
ii " „.. /41‘ ..0.... L ...z
OWNER
DESIGNER
USE /NATURE OF WORK `
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. Newange ❑ Temp El Type Volts Amps
Fixtures ....•--- Switches ` Receptacles %.--- Circuits
940c
PLUMBING CONTRACTOR
- BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
- WC FDr SP Ur — Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ r 0 d (— Permit Fee Paid $ 5 Park Dedication $
ISSUED BY Date r--..7-- 6 r Final /O.P. /U – 3 _ k
In the performance of this work agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Z6
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 70 /1 •" , APPL. DATE — /7 7, -,--
ELEC. CONTR.
I:
OWNER (/\ vv' /
ADDRESS /'" S� D 3 -S C
NATURE OF WORK (0 $ -61-
ELEC. SERV. NEW ° v CHANGE TEMP.
DESC. TYPE - w • - VOLTS / ' P - i, d AMPS 40 V
FIX'S SW' S r. RECEPT r S C CIRC' S D<
AP-L CES , .
SIGNS
may'
INS' . ROUT:. CINZ °IN • W - 6 - B F lir-
EST. COST /1( //l PERMIT FEE 7.i— DATE PD % -26 -'
REMARKS
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